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A urethral caruncle is a noncancerous growth that forms on the back part of your urethral opening. This condition is linked to low levels of estrogen, and it’s most common among postmenopausal people. Treatment isn’t necessary unless the growth causes symptoms. Urethral caruncles can resemble other, more serious lesions, so proper diagnosis is key. What are the symptoms of a urethral caruncle? In most cases, urethral caruncles don’t cause any symptoms. However, some people may develop: Pain. Bleeding. A burning sensation when peeing. What does a caruncle look like? Urethral caruncles usually measures leads than 1cm (0.5) centimeters in diameter. They’re usually red or pink, but they can turn black or purple if a blood clot forms. Is a urethral caruncle painful? Not usually. Many people don’t even know they have a urethral caruncle until their healthcare provider finds it during an examination. However, some people can still develop pain or bleeding — and some have burning discomfort when peeing. How do you get a urethral caruncle? Low estrogen is the only known risk factor for urethral caruncles. People with low estrogen have a higher chance of developing the condition. Estrogen keeps the skin in your genital area soft and flexible. When estrogen levels drop, you’re more prone to dry, thin skin that tears easily. Experts think this is why urethral caruncles are most common in people who’ve already gone through menopause. How is a urethral caruncle diagnosed? Most of the time, urethral caruncles are detected during routine pelvic exams. Most people don’t even realize the caruncle is there until their healthcare provider finds it. Your healthcare provider can diagnose a urethral caruncle with a physical examination. Urethral caruncles may appear similar to other types of urethral growths, including certain types of cancer like: How do you treat a urethral caruncle? Treatment isn’t necessary unless the growth is causing uncomfortable symptoms. However, if your urethral caruncle is having a negative impact on your comfort or quality of life, your healthcare provider may recommend treatment. The most common urethral caruncle treatments include: Topical estrogen cream. Applying this cream helps restore your estrogen levels. Anti-inflammatory medication. Your healthcare provider may also recommend a topical anti-inflammatory cream, such as a corticosteroid, to ease swelling and irritation. Urethral caruncle removal. If nonsurgical options don’t work, a surgeon can remove the growth under local anesthesia, sedation or general anesthesia. It’s important to note that, even with surgical removal, there’s still a chance for urethral caruncle recurrence (return).